Chapter 4: General Considerations for Communication-Based Intervention (Rossetti)

Question 1

which of the following statements is FALSE:

a. language is the single best predictor of a child’s future cognition
b. the communication skills domain separates no-risk from at-risk children
c. center-based EI improves client outcomes and saves money
d. no single model of home visiting has been demonstrated to be the most effective

Answer 1

c; home*-based EI improves client outcomes and saves money

Question 2

the EI should keep in mind ___ of risk, which begins at birth and increases as long as the mother is unable to interact with the child or the mother experiences medical risk factors

Answer 2

continuum

Question 3

___ age children are at high risk for later developmental learning problems

Answer 3

school

Question 4

early detection is critical for which two domains of health?

Answer 4

academic and emotional

Question 5

this is the main reason why caregivers do not receive early referral for intervention: ___

Answer 5

children do not begin to speak until ~1 year

Question 6

true or false: assessment and intervention cannot be provided for children under 12 mo of age

Answer 6

false

Question 7

the following are ___ for communication disorders:

prenatal infection; birth weight; ototoxic drugs; deviations in sucking or feeding; birth defects; blood / exchange transfusions for hyperbilirubinemia; family history of hearing loss; family history of speech problems and learning disabilities

Answer 7

risk factors

Question 8

re: principles of EI services

___ restrictive and ___ natural environment

Answer 8

least, most

Question 9

re: principles of EI services

___ centered and responsive to families’ priorities

Answer 9

family

Question 10

re: principles of EI services

delivered in a ___ fashion

Answer 10

transdisciplinary

Question 11

re: principles of EI services

should be predicated on __ results and family values

Answer 11

empirical

Question 12

re: principles of EI services

___ and developmentally appropriate

Answer 12

individualized

Question 13

children who were identified early and received initial EI services in the home are best suited for ___ services

Answer 13

center-based

Question 14

___ of center-based EI:

greater access to staff / variety of services; greater ability to interact with other parents; availability of other services

Answer 14

benefits

Question 15

list five examples of center-based EI options

Answer 15

1. parent-child centers (group)
2. developmental child care (exposure to typical-developing)
3. reverse mainstreaming (specialized EI with typical-developing)
4. traditional specialized intervention (only for atypical)
5. medical child care settings (skilled nursing)

Question 16

match WHO the competency should encompass:

_ 1. knows physical / behavioral responses of ill infants and has intervention skills
_ 2. incorporates infant behavioral responses to environment to make suggestions to parents / staff
_ 3. understands immature bx responses and detects communication cues
_ 4. is up to date with research findings

Answer 16

1. infant specialist
2. facilitator and consultant
3. parent / caregiver educator
4. program developer and advocate

Question 17

to provide care in the NICU, the EI must:

know ___ infant development including theory / research in normal infant development stages; know ___ infant development including risk factors; know theory / research about family systems, attachment theory, and parent-infant interactions

Answer 17

typical, atypical

Question 18

the following are required to implement developmental care in the ___:

knowledge of: fetal / newborn brain development; common medical conditions; how medical conditions affect typical development; neonatal preterm and full-term infant behaviors and development; environment of nursery; staffing and cultural patterns; parenting

Answer 18

NICU

Question 19

services in the NICU are provided for the child, the parent / caregiver, and ___

Answer 19

NICU staff

Question 20

components of ___ goals include:

general service provision goals; addresses environmental, psychosocial, and familial concerns

Answer 20

NICU-based

Question 21

the following are ___ in the NICU:

to reduce adverse stimuli and to create a supportive and developmentally appropriate environment

Answer 21

goals for intervention

Question 22

list three action plans that the service provider should do to improve the NICU nursery environment

Answer 22

1. educate nursery staff and parents ill infants face in flawed NICU environments
2. train to monitor and assess infant states
3. begin planning for discharge early on

Question 23

absence or lack of incorporating parents into NICU activities may lead parents to develop ___

Answer 23

attachment difficulties

Question 24

list three common concerns of the NICU environment

Answer 24

high-level lighting; noise exposure; touching and handling (excessive or lacking)

Question 25

list three basic calming techniques used in the NICU

Answer 25

positioning; swaddling; non-nutritive sucking

Question 26

what is described by the following:

newborn wrapped around mother’s chest; inclination to breastfeeding; inclination to ownership of child and their care in the NICU

Answer 26

kangaroo care

Question 27

___ to interaction in the NICU:

parent interactional differences; infant interactional differences; NICU environment

Answer 27

barriers / limitations

Question 28

the following are five ___ of the home-based model:

natural; better performance; health better protected; routines seldom interrupted; opportunity to generalize method of care to other family members in the home

Answer 28

benefits

Question 29

list three issues of home-based EI

Answer 29

1. EI recommendations ignored by caregiver
2. hostility between EI and caregiver
3. EI’s personal safety

Question 30

children with specific educational and health needs are best suited for ___ programs

Answer 30

combination home-center

Question 31

purpose of the service, level of expertise required, and amount of services required determine ___ of services when these factors are evaluated

Answer 31

intensity